DR. SAMUEL ALEXANDER JOHNSON D.B.C M-RAS C.S.C NPI 1902357874

NPI Information

NPI: 1902357874
Provider Name: DR. SAMUEL ALEXANDER JOHNSON, D.B.C, M-RAS, C.S.C
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
16755 HUGHES RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 684-3419
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DR. Samuel Alexander Johnson, D.B.C, M-RAS, C.S.C is an addiction (substance use disorder) counselor in Victorville, CA. DR. Samuel Alexander Johnson, D.B.C, M-RAS, C.S.C NPI is 1902357874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16755 HUGHES RD
VICTORVILLE, CA
ZIP 92395-563
Phone: (760) 684-3419

The enumeration date for this NPI number is 10/17/2016 and was last updated on 1/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	J1006181711	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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